S32.12 – Zone II fracture of sacrum

ICD-10-CM 2027 diagnosis code · Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals

Non-billable header

ICD-10-CM code S32.12

Code: S32.12 (claims format: S3212)
Description: Zone II fracture of sacrum
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 19. Injury, poisoning and certain other consequences of external causes (S00-T88)
Block: S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
Parent codes: S32 › S32.1

Billable codes under S32.12

S32.12 is a header code and cannot be used on claims. Choose the most specific code:

S32.120 – Nondisplaced Zone II fracture of sacrumHeader (more codes below)
S32.121 – Minimally displaced Zone II fracture of sacrumHeader (more codes below)
S32.122 – Severely displaced Zone II fracture of sacrumHeader (more codes below)
S32.129 – Unspecified Zone II fracture of sacrumHeader (more codes below)

7th character values

Codes in this category need a 7th character to describe the encounter or episode of care (use placeholder X for empty positions).

Character	Meaning
`A`	initial encounter for closed fracture
`B`	initial encounter for open fracture
`D`	subsequent encounter for fracture with routine healing
`G`	subsequent encounter for fracture with delayed healing
`K`	subsequent encounter for fracture with nonunion
`S`	sequela

Notes for S32.12

Applicable to:

Vertical foraminal region fracture of sacrum

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

S32 – Fracture of lumbar spine and pelvis

Includes:

fracture of lumbosacral neural arch
fracture of lumbosacral spinous process
fracture of lumbosacral transverse process
fracture of lumbosacral vertebra
fracture of lumbosacral vertebral arch

Excludes1 (not coded here):

transection of abdomen (S38.3)

Excludes2 (not included here):

fracture of hip NOS (S72.0-)

Code first:

any associated spinal cord and spinal nerve injury (S34.-)

Notes:

A fracture not indicated as displaced or nondisplaced should be coded to displaced
A fracture not indicated as opened or closed should be coded to closed

7th character note:

The appropriate 7th character is to be added to each code from category S32

S32.1 – Fracture of sacrum

Applicable to:

For vertical fractures, code to most medial fracture extension
Use two codes if both a vertical and transverse fracture are present

Code also:

any associated fracture of pelvic ring (S32.8-)

Block S30-S39

Includes:

injuries to the abdominal wall
injuries to the anus
injuries to the buttock
injuries to the external genitalia
injuries to the flank
injuries to the groin

Excludes2 (not included here):

burns and corrosions (T20-T32)
effects of foreign body in anus and rectum (T18.5)
effects of foreign body in genitourinary tract (T19.-)
effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
frostbite (T33-T34)
insect bite or sting, venomous (T63.4)

Related codes in S32.1

S32.10 – Unspecified fracture of sacrumHeader
S32.11 – Zone I fracture of sacrumHeader
S32.13 – Zone III fracture of sacrumHeader
S32.14 – Type 1 fracture of sacrumHeader
S32.15 – Type 2 fracture of sacrumHeader
S32.16 – Type 3 fracture of sacrumHeader
S32.17 – Type 4 fracture of sacrumHeader
S32.19 – Other fracture of sacrumHeader

Frequently asked questions

What is ICD-10 code S32.12?

S32.12 is the ICD-10-CM code for zone II fracture of sacrum, in the block S30-S39 (Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals).

Is S32.12 a billable code?

No. S32.12 is a header code with more specific child codes; report one of the billable codes listed above.

What category does S32.12 belong to?

It belongs to category S32 – Fracture of lumbar spine and pelvis.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.